Winner's Prize: Application

Family Season Due:

Pool Pass, Saturday
T-Shirt &
May 13, 2017
Bragging Rights

Punxsy Pizza & SPLASH are joining together to hold a Pizza Eating Contest May 20, 2017
at The Burrow. Start time 9:00 pm
Regulations, Application and Waiver
To Participate:
Submit this form, along with the $20 participation fee(includes cover) to Punxsy Pizza by May 13, 2017.
115 N. Findley St., Punxsutawney, PA 15767. 814-938-8132
There will be two categories. A men's category and a women's category. First 10 applications for each category will be able
to compete.
Participant Information:
Please complete the information below and print legibly.
Name: Phone Number
Address:
City, State, & Zip
Email
Event Information, Competition Regulations & Disqualifications:
When: Saturday, May 20, 2017
Time: 9:00:00 PM, Check in time 8:45 pm
Where: The Burrow
Contest: Contestants will receive one huge slice of pizza. Whoever consumes the entire slice the fastest wins.
Rules: *Competition participants must arrive no later than 8:45 pm at the sign up table near the dart board
or their space will be forfeited with no refund. Event schedule subject to change.
*Contestants will begin with their hands beneath the table prior to the start of the competition.
*Contestants will commence eating at the sound of the announcement.
*Contestants will raise both hands when they have finished their entire pizza and a judge will verify.
*The winner is the contestant who eats their entire slice the fastest and swallows it with no food
remaining on the dish or in the mouth, determined by the judges.
*Each contestant must sign the liability waiver.
*Each contestant will receive one bottle of water.
*Contestants must be 21 years of age or older.
Disqualifications:
*Starting before the announcement.
*Placing pizza on others' plates, under the table, or hiding food.
*Unfair or poor sportsmanship-like acts determined by the judges.
*Refusal to meet any contest rule set in these guidelines.
Waiver/Participant Agreement:

By participating in the Punxsy Pizza/SPLASH pizza eating contest and signing this agreement, I fully understand that I enter the competition at my own
risk. I understand I should not enter this contest unless I am medically able, as this contest is a potentially hazardous activity. I hereby release,
discharge, covenant not to sue and agree to hold harmless- The Burrow, Punxsy Pizza & SPLASH and their respective administrators, officers, agents,
and employees. The Burrowm, Punxsy Pizza & SPLASH will not be held responsible for any allergic reactions, injuries, choking or other incidents
resulting from participation. I give permission to Punxsy Pizza & SPLASH to use any event photographs taken of me for promotional materials. My
signature indicates my understanding and assumption of the risks, regulations, rules and voluntary participation in this competition.
Signature Date: